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4192 Amberleaf TrINSPECTION REC4R CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: ?: F, Ft?? i'r 1 F I I PERMIT SUBTYPE: I I " ,i4 11 I A r tYt r,l i ? , ' i' 1 I I I 1N• 64f,60-1 tr4? 4?1 r ? I K f,i APPLICANT: ? TYPE OF WORK: 111 `:t'.h i I' i ! oifi f''1' b16i I rw!:? ! kj( r E0 r, ft I I r"4I r i rr I?A I i Orv A'. 1M'0Fftt1r;A ? 7 ? L 'I Permit Holder Date Telephone !k SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEA77NG GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE B AIR TEST tZ ' 18 FINAL PLBQ FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATIOfJ METER FLUSH MAINS CONDUCTIVfTY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION 'CIT'Y OF EAGAN 3830 Pilot Knob Road I Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: A , .. , - PERMIT SUBTYPE: ? PERMIT TYPE: ? it VI j M Permit Number: • ? ?' 30 Date Issued: 0;. / i .? , . • ,. ?? TYPE OF WORK: INSPECTION .. . D n i i r MARK.ti : :, & LJ f' i. tjk s E 1 RMIff f Permit No. Permlt Holder Dete Telephone # ELECTRIC Al(??? PLUMBING (5?g 7. #e?y-1?9 HVAC 4 Inspection Date Insp. Comments FOOTINGS -2.6,47 N449 FOUND FRAMING ? ROOFING ROUGH PLUMBING PLBG AIR TEST r! ir ROUGH HEATiNG GAS SVC TEST 1 [ ri 61,1-2 ? INSUL 7 gWZ GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG fl ORSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 4192 aMSEtu,M TtAII, Zip 5512 3 Lot - 18 Blk l Sub RoONEr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date; /D (/ ?'j -,7 Yes No Inspector: Final grade (6" from siding) r/ Permanent steps (garage) V_? Permanent steps (main entry) Permanent driveway G? Permanent gas v Sod/Seeded grass ? Traillcurb damage Porch ? Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shu6off of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before workiag in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracror Copy S?/?+? ? ?^ OFFlCE USE ONLY This requeslwid 18 monlhs (rom valien ? dot?nl?i Hs box 7 ? 1 / I I I?II I I?I II I I II II II III? I I I II III?/?/ ?/' ? III I II II I V E T OR TYP PL ?/ O Naquen Dore ga?pMn mspechon mqutredz es ? No Inspecnon OiMr Than RougMn ? Ready Now 0 Coll 4-BD- q9 ?'lo? musi call ?he i-specmr when reody) Ready I, Oicensed mnhacror ? owner hereby request inspeclion of the above ele ical wor S? lob Address (Sreet, B., a Rooce No ) Gry , P@CdEW , (-I(qQ O 1 ' ! ' :? QY) $echon o Township Nama or No. Range No Fre No Couny ? l? Oc<upant Phorie No. Powrr Sopplle Addrais QWIG Elechiwl ConhaUw (Company Name) Conhacbr Lcenie IJo. Elecl. Only? Moskr Lic No (%ant Am ?5 Moilmg Address jCOnnoclor or Owner Pehoiming Irabllonon) 4C)s -d Je n brrx?)U? 3n PctnlL rn?J .???143 Autlwnzed Signmure (Convocror « Ownn Performng Insmlloriw) Phme No J- +? %3-kcc) E8-00001 A-I 7 8/9b STATE BOAND COPY - SEE MSi1iUC710N3 ON BACK OF YELLOW COPY REDUEST FOR ELECTRICAL INSPECTION 7`3 *7 44 77 '? ? , Minnesofa State Board of Electriaty 1821 Universiry Ave., Rm. 5128, St. Paul, MN 55104 5/C? Phone (612) 642-0600 Home Du lex A t. Bldg. Othe:: m New Addn Commercial Indushiol Form I l Remod Re air Air Cond. Htg. E uip. Water Hh. Load Mgmt. Olher. Dryer Ran e Elec. Heot Temp. $ervice "X" above fhe work covered by fhis request Enter remarks in fhis spoce and on the bnck of the while cbpy only. A?c? on ??e ?? g3,r?c-17 Calwfale Inspeclion Fee - This Inspection Requesf wdl nof be occepfed wifhoul the rorrect /ee: Other Fee # Scrvice Entrance Size Fee # Circuits/Feeders Fee Mobile Home Pork Stoll 0 l0 200 Am "pio 1 -- LS 0 to 100 Amp '"6- $heet Llg./TraHic Sig. Above 20Am s Above 100_Amps Tronsformer/Generotor INSPECTOR'S USE ONLY TOTAL 5o Sign/Outline l)g. X(mr. - Alarm/Remote Conhol Swimming POOI I herereni Ihot I Ins kd the e ?? ihe da?e::m? d Irngo}ian Boom RoogMn oare. S eciQllns eclion ? p p Invesfigotive Fee J F??al THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. ?5 O? OFFlCE USE ONLY Thu raquesl roid 18 monMslrom validaHon dok prinled in this box. ? H77?? IIIIIIINNIIIIIII?IIIIIIIIIIIIIIIIIIIIIIIIIIIvs/4?1,? /yRv? v * 11 4 4 6 7 5 9 3 aC PLEASE PRINT OR TYPE ?S Reqvesf Dam RwgMn inrpanwn reqoired2 ? N. I ?d Insect:an Olher Thon Roughln Q ReoAy Now ? WAI Coil w?? , r? oare aeaay. I, icensed conkoctor 0 owner hereby request inspecfion of the above elechical work at: Job Address (Sneei, Ba,, or Rome Na I Crry 2ip Cade 19 r LQ-0'( T. ;E?a an Secfion No. Township Name or No Range No Firc No Ca uny h W? Occuponr C W -?' d Phme No o n n PowerSuppLer Addreu aY..?1a '? Elechical Commcror (Campony Name) Connocbr Lcmu No Mosten cc No i%am Flev Only) 5unri ? 4iic- C?aoi? ?m a Mailing Address (Conhactw ar Ownrr Performi'g InsbllaM1On) HC rc1 pue- kb p n Pbn m 55'-E43 Aulhwiud Stgnmure ?Cankmor or Owmar Perfoimmg Inswl lorio Phone No SKa I 'Mcb- ";?)w I U/Yb , STATE BDAflD COPY - SEE INSiAUC710NS ON BACK OF YELLOW COPY 446-7593 ??97 REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity 1821 Unrversiry Ave., Rm. S-128, St. Paul, MN 55104 - Phone (612) 642-0800 Home Duplex Apf Bldg. O er: New Addn Commercial Indusfrial form Remod Re air Air Cond. Htg. Equip. Wofer Hf oa g. fher: Dryer Range Elec. H t emp. Senice "X" above fhe work covered by fhrs requesl fn e and on the bnck of ihe white copy only. Colculote Inspedion Fee - This fnspxfion Request wiN nof be acrepfed wifhouf the corred fee: Other Fee # Service Entranrn Size Fee # Circui[s/Feedere Fee Mobile Home Park Stall 0 ta 200 Amps 0 to 100 Amps ? - Sheet Ltg./Traffic Sig. Above 200_Amps A Amps Transformer/Generofor INSPEC70R'S USE ONLY / TAL $ign/Oufline Lfg. XFmr. ?. Alorm/Remote Contml ? Swimming Pool I here ceni Ihot I mspecled eleclnml inslallman d herem on Ihe daks sMled Irrigahon Boom Ro„yki„ p?e Speciol Inspeclion Imestigafive Fee THIS INSTALLATION M ' p AY HE O Final RDEREO DISC C O IF WRHIN 8 ?NTHS. ? -CITV' OF EAGAN PERIVIIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 7 3 0 (612) 681-4675 Date Issued: 0 q/16 / 9 7 SITE ADDRESS: P.I.N.: 10-64560-180-01 4192 AMBERLEAF TR LOT: 18 BLOCK: 1 ROONEY DESCRIPTION: B°uildingwP,ermiC 7ype 1BUildin4 W6,r•k? Type -`UBC" YJacupancq`?_.s yj?e ?Constructzqnr "T Zoning _., _ 'Buildi,ng Length Bu,i l.dl ngWidth _ `. g?uilding storie& f_ r,e Feet;__., .: Ceiasufi-=Code SF DWG NEW R3/U1 VN R1 73 46 2 2,127 101 1 - FHM. DETACH ? 5 ? a3 ?'.1 REMARKS: S & W f'LBR: ELANDER FIEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $1,292.25 $839.96 $90.50 $950.00 1@0 $3,172.71 $181,000 MISCELLANEOUS $1,539.50 Tota1 Fae $4,712.21 CONTRACTOR: _ apPiicanr. - sr. LIc.OWNER: L,UNDGREN 6ROS CpNST 14731231 0001423 LUNDGREN BROS CONST 935 E WAYZATA BLVD 935 E WAYZATA BLVQ WAYZATA MN 55391 WAYZRTfl MN 55391 (612) 473-1231 (612)473-1231 ? I here6y'acknowla.dge that ZhaW-eread.this°s,pplic.atiom and state that Che infiormation-ia carrect and,agre,e 'td campLywiCh al'1 applinakzleState o'f Mn- Statuties and City of Eagarn.Ordkoanbes.°, 4 " < < flr??n R?Q i rn? APPLICAN PE I7EE SIGNATURE ED B SiONATURIE ities Diizital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. i ..'-:?-"•.'??' _`?' J: 6: t Y• 1. ...:'??,y.p. ? Y ? ..-,. ?- l?r;,.-;: . ,. , . . . . . . . °. ,; :? m:'.... ?, i •? ? ..? i . , , ??p 3830 PILOT KNOB RD - 55122 ?J UILDING PEFYMIT APPLICATION (RESIDENTIAL) ?y7?a• ?? r[ (? (Retl 681-4675 ?? Naw Conslruclion Reauiiements RemodeVReoair Reavirements 7 ? 3 registered sfle surveys ? 2 copies of plan ? 2 copies of plans (include 6eam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions 6 decks) ? t energy calculations ? 1 energy calculations Tor healed additions ? 3 copies of tree preservativn plan H lot platted aRer 711/93 required: x Yes la SO, DATE: CONS7RUCTION COST: /?? • U ?? r- DESCRIPTION OF WORK: STREET ADDRESS: ?L?&2 ??A 1L? LOT 166 BLOCK ? SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: LC66664it/ /-IfM?aJrUSTiE'l(CT,kPhone #: V23-123 / .... .... Street ?G . ,Z_ Vz City:?????Tiq state: ?"?'? zip:,Z-.? B g/ Company: Street Address: Citv. State: _ Company: Name: Phone #: License #• l y/ 2 Zip: Phone #: Registration Street AddressCiry: State: Zip: Sewer 8 water licensed plumber: `--?V,2) ? . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that tfie information is coRect and agree to compVy with ail applicable State of Minnesota Statutes and City of Eagan Ordinances, Signature of Appiicant: OFFtCE USE ONLY Certificates of Survey Received Yes _ No E VED Tree Preservation Plan Received V Yes _ No '??r? 7 1997 3UILDING PERMIT TYPE - 01 Foundation o 06 Duplex 02 SF Dwelfin ? 07 4-plex -1 03 SF Addition ? 08 8-plex :1 04 SF Porch ? 09 12-plex - 05 5F Misc. ? 10 _ plex WORK TYPE 1 New ? 32 Addition ? 33 Alterations ? 34 Repair uENERAL INFORMATION ? 11 Apt./Lodging 11 ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? 0 14 Fireplace 0 ? 15 Deck ? 36 Move ? 37 Demolition ?.onst. (Actuaq _ v^I Basement sq. ft. (Ailowable) v N Main ?vel sq. ft. UBC Occupancy 2-3,vq 2 •sq. ft. Zoning +2- 1 - sq. ft. u of Stories cx • sq. ft. '_ength TZ ' y" sq. ft. Depth -v-' Footprint sq. ft. APPROVALS 7'lanning Building 16 Basement Finish 17 Swim Pool 20 Pubiic Facitity 21 Miscelianeous 14? 50 MC/WS System ? _ i-N ='o City Water ? i 2c? c( Fire Sprinklered &'t? PRV Booster Pump Census Code. 4oi ?zoi Z SAC Code v 1 Census Bldg ? Census Unft ? Engineering Variance Permit Fee Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traits Ded. Other Copies Valuation: L?, sEV^ e?...? .?------- SP ?l 2 3 .'7S g.gsxpp.S 3q y ? 2u ? ,?. 9arv.e 2 ?a- g0? 2Z 3qrr 8 -?.s+r+z Total: % SAC ; SAC Units ' $ 181 , ooo.- t 1 ? 7. S 3 I i fVSO.f J? ? 5'H= 1100 z72 ?S ------- 12- q4/ G -F -; +A ab I (, _ ar; st .s ? 8 1 3o'S , e/ G9i 8-7(-, -- 1n, $ 2,2 . - !b'C.a , -76.a.,j ,? I .. ... ? ? ??? 2422 Enterprise Drive Mendoto Helghts, MN 55120 1914 FAX:681-9488 1 - (812) 68 N?7Ep ii utio suR?rops • ar? cncwc MCMilEC75 625 Hi9hway 10 n7_E. neBr n ng ??r DATE Blaine, MN 55434 7g3-?880 FAX: 783-1883 *** BUIIDiNG INSPECTiONS DEPT, LUNDGREN BR4S. CONST. ` Certificate of Survey for: 4192 AM6ERLEAF T RAII / iBENCH MARK / TOP OF PIPE ? ELEV.=922.66 i zS i Is1a.5 tql??G1' ?916.5 h'OG?,1,G 17 ' 4.17 i 9?? r? i/r S3?8 917.35 5?.3?.?4. lo F I r `137,].4 922.9 925.27 43 ! x922.8 ' - ? 924.0 919.8 q<_ `o too ' 915.0 ?3 8? 924.3 920.2 x 920.7 ?01 CP 5 x ,0 . 924.7 922.7 `5 ? 924. ? `'- 16 _ w 66 x t ,,O 1t ?A Os . ?o 1 8 G th o J 9 a11 W g% ZW ? \R,'Q ? 914.6°' k,? o x 917.0 7 ? ? 814. ? po 9 5- 916.5 9182 917.8 ? \ \\ ?,? ?i x916.1 .? ? 303 5 X\N ? O ? AA 914.7 11\0 ?w x ? lp 914.2 9T43 ? . 914`, -' sv? 913.bpe?Qj? ? 914.4 ? ? r 19 R? 5? i 910.5 BENGH MARK' TOP OF :PtPEF ?\ \ ELEV.=91 .G,6 y ? ' S??`? `? NOTE: PROPOSED GRpDES SHOwN PER GRAOiNG PIAN BY: PIONEEN NoTE? BVILDING OIMENSIONS SHOwN ARE FOR NORiZON7AL AND VER7IGL LaCATION OF S7RUCNRES ONIY. SEE MCHIIECTUAL GLANS FOR BUIIAINC AND FOUNUAYION OIMENSIONS. NOTE: NO SPEdFIC SOilS INVESTIGAl70N MAS BEEN COMPLMD ON TMS L01 BY THE SUR`/EYOR. THE SUITABIL4T'I OF SOILS TO SUPPOFT 7ME SPECIFlC HWSE PROP0.5E0 IS NOT TFIE RESPQN5161Un' aF 1HE SURVEYQR. 915.9 EXISTING HoUSE w-?,,1 ?9 ?\?-? i? ?L.. F-AGc'LN EPP- "- w F lyL `A'TION LOWES7 fL00R ELEVATION: 910,U TOP OF BLOCK ELEVAriON: GARAGE SLAB ELEVATION: NOTE: 1MI5 CER7IFlCATE OOES NOT PURPORT TO S710W EASEMEN7'S 0"rH,F`R THAF X OOO.DO DENOTES E%iSTiNC ELEVATION iNOSE SNOYM ON THE RECOHOEO PIAT. ( 000.00 ) DENOTES PROPOSEO ELEVAliON r. =- DENOTES ORAINAGE AND UTIl1T7 EASfMENT NOTE: CONTRACTOe MU57 VERIFY DRIVEWAV DESIGN. DENOTES ORAINAGE PLOw DIRECiION ro01E: OEnRINCS SHOWN ARE 9ASE0 ON AN a55UMED OANM -r DENOTES MONUMENT p DENOTES OFFSET HUB WE HEREBY CERTIFY TO LUNDGREN BROS. CONST. 7HAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEr OF THE 80UNDARIES OF; LOT 18, BLOCK 1, ROONEY ADD9T10N DAKOTA COUNTY, MINNESQTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 8Y ME QR UNDER MY DIRECr SuPERhStON THIS 11TH DaY OF OCTOB6R. 1996. ^ ei _n?e? cn- ! ?PA(]NFFR FNC?I EN?.A. SCALE : 1 INCH = 30 FEET 7 5WK REVISEO 3-14-97 SHOW NEW HOUSE e 1 0'd LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? n i ? 5 ? m m ? ? ? ? ? ? ? ? ? ? ? PROPERTYLEGAL: DATE OF SU*GEY: / 6 LATEST REVISION: ?o P?? ?? [?3' ? B' ? DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Buitding PermitApplicant • Legaldescription • Address • North arrow and scale • House type (rambler, waikout, split w/o, split entry, lookout, etc.) • Directional dreinage arrows wffh slope/gradient % • Proposed/exassting sewer and water services & imrert elevation • Streetname • Driveway ELEVATIONS Existing / ??9- ? • Sewer service (or Proposed) o? ? ? ? ? • • PropeAy comers Top of curb at ffie driveway ? ? • Elevadons of any exissting adjacent homes Prooosed W' " ?13 13 13 e o • Garegefloor / a ? 13 • First floor 2--?0 0 • Lowest exposed elevation (walkouUwindow) ? • Property comers 0? [] 0 • Front and rear of home at the foundation PONDING AREA (iaonlicable) • Easement line ? rd--?o • NWL ? er'o • HWL • Pond # designation • Emergency Overflow Elevation DIMENSIONS 01"?13 a • Lot lineslBearings 8 dimensions 0-? 0 ? • Right-of-way and street width (to back of curb) • Praposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all struclures requiring permanent footings) • Show all easements of record and any Cily utilfies wifhin those easements O? ?0 • Setbacks of proposed structure and sideyard setback of adjacent eAsting structures El0 • Retaining wall requiremgp#s, if anY, Reviewed: Date January 1996 cRMi oaeieLocvRMr Frn .. Lun???EII BRO5' EXTERIOR ENVELOPE AV[RAGE U COMPUTATION SHEFFIELD PLAN CONSiRUC110N INC Lot/gBlock / Site Address ??9a, a.?z?j-=li2C?-?-L ? R& U Factors _ R ll Opaque Walls .043 935E Wayzataf3lvil - - Myzata Wa11 Fraining Areas .09 , Minnr.suia55391 Ceiling Insluation Area .023 (612)473-1231 Cei 1 i ng Frami ng Area .027 Rim Joist .04 Masonry Wall .469 Windows .35 Doors .31 Skylights .55 1) Lower Level (Qasement) Total Exposed Wall Area seeo Opaque Wall Area a? X (U) .043 =_?? Wood Frame Area J? X (ll) .09 = Rim Joist "r X (U) .04 = -? Exposed Block ? X (U) .132 = Window Area ? X (U) .35 = 10? ? Sliding Glass Door ?(7 X (U) .35 Door Area X (U) .31 Total .? ? ?SJ LunNW BRO5' 2) First Or Main Floor coNSraucnoN WC Total Exposed Wall Area Opaque Wall Area Wood Frame Area Rim Joist Window Area 935 C Waytala Bivd Wlylaia Sl i di ng Gl ass Door MmnCS01255391 Door Area (612)473-1231 3) Second Floor If Two Story Total Exposed tJall Area Opaque Wall Area Wood Frame Area Window Area Sliding Glass Door Door Area 4) Total Ceiling Area Wood Frame Area Opaque Ceiling Area Skylight X (U) .043 = Y, (U) .09 = ?QQ X (U) .04 X (U) .35 ao X (U) .35 - ? % (U) .31 To ta l 1)l'7.6 o?cX (U) .043 = x (u) .09 = ? X (U) .35 = M'd'; 3 ' X (U) .35 = X (U) ,31 = Total ?t 0 3dpc-l X cU> .027 _ ?73 ?A4,6!X (U) .023 = ?ii?•(?J? -? X (U) .55 Total LunaGR(n BROS. CONSTRUCTION wc MINNESOTA U FACTORS Total Exposed Wall Area O&X .11 MINNESOTA U FACTORS Total Exposed Ceiling ?y,, ? Area /?aL-1 X .026 = 3? l? (A) Total = ?? 935 E. WaymLi fllvd / ,??- G C? Wayrata Item lj?,7s+ Item 2I?.>?'?J+ Item 3/,9C t Item 4P -3,/ 4)7 Minnesola 55391 (612)A73-1231 If Total Of Items 1-4 Is Less Than Item (A), Buildiny Complies With SBC 6006 (C)s ..tl? L? BL cirr use oNLv RECEtPT#: RECEIPTDATE: 1997 PLUMBING PERM{T (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4875 Please complete for. . single family dwellings . townhomes and Condos when percnits are required for each unit . backflaw preventer for underground sprinkler system FIXTURES EACH NQ. TOTAL Shower 3.00 x ,_L = Water Closet 3.00 x 3 _- Bath Tub 3.00 x 2 = Lavatory 3.00 x S- _ Kitchen Sink 3.00 x Laundry Tray 3.00 x 1 = Hot Tub/Spa 3.00 x = Water Heater 3.00 x f = Floor Drain 3.00 x Gas Piping Outlet ' minimum - 1 • 3.00 x I _ Rough Openings 1.50 x 3 = Water Softener "for dweilings under consWGion 5.00 x = Water Softener • for extsting aweliinp 20.00 x = U.G.Sprinkler `fordwellingunderconst. 3.00 = U.G. Sprinkler ' foTexisting tlwelling 20.00 = Alterations ' W existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System ` Dak Cty lic 75.00 = (new and retur6ished sysUems) Private Disposal Systems • anandonment 20.00 = STATE SURCHARGE .50 D'Q TOTAL I hereby acknowledge that I heve read this application, sfate that the information is corteU, and agree to comply with ell applica6le City of Eagan ordinances. k is the appi'icaM's responsibility to notiy the property owner that tha City of Eagen assumes no liability for any damages pused by the Cily during its nonmal operetional and maintenenca activities M the hdlities wnstruded under ihis pertnit within Ciry propertyhight-of-way/easement SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREETA/D?dRESS: <<?•n-- CITY: S1/Wkodtv 5, 1,f TELEPHONE#:44S-4(-,iZ- STATE: p: 5-23 )9 u //P ;/V/ SI E O PE MITTEE F- . CITY USE ONLY l/ y/ LOT ? BL RECEIP'1' #: /'Y'//v ;2- SUBD. ?pfYx? / RECEIPT DATE: -1/? 9/9 / 1997 MECAANICAL PERMIT (RESIDENTIAL) CTI'Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612)6814675 Date: Complete tlus section onlv if you are installing I3VAC in sinele familv. townhome. or condos that are under construction and are not owner /occuoied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas oudets (minimum of one required @$3.00 ea.) 3• t!?- • State Surcharge: .50 • TOTAL: 33,5?0 Complete this section oniv if you are remodeline, adding to, or reaairine eaisriug single familv dwellings, townhomes, or condos. _ Add-on fumace _ Add on air conditioning _ Add-on air exchangez, i.e. Vanee system, etc. _ Other Minunum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Total: $ 20.50 SITE ADDRESS: w A-"C e ItJ OWNERNAME: 61-05. PHONE#: INSTALLER NAME: 9 (k,?„?4Er `f LLr4?, C4 C PHONE #: ??( S`-?yR Z STREETADDRESS: !N l,L?an 'br. CI71': r] ?µPOtiL STATE: ? ?? • ZIP:S?.37°? . .n cirr use oNLv L _ eL - RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CtTY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: . $25.00 minimum fee 911% of contract price, whichever is greater. • Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pgrmft fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (iMaROVeanENrs oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE • all commerciaUndustrial buiidings. ? mutti-famity buildings when separate permits are po required for each dwelling unit. CtTY INSPECTOR r miji i rnuivc ivu. • nuy. iv •? ?W•??mii i. L 0 ? SiJBL? New Raceipt # o o? w Ttzceipt Date ??? order For Payment Data."rRf? 1?!:? ?aquoct fi?r Iacpectinn 1VnmhPr nn thic jnh ?"P LI Fi - 77_1 DateFiled.._. 11 Elecuica! Installer License ?Io. C? ! ?,S 0 Owier/Occupx[rt_ Cs?s County Dnk..+,. JobAddress Additional Roughh-in iaspection was reqixired. -ZA shoriage of fees on the above jab. Reinspection Fee. A Copy of this order must be returned with payment to the; Eagan Municipal Center 3830 Alot Kaob Road Egan,MN. 55122 Phone- 6814600 Fee Plese retum this with a check in the amouut of $.3 . 5C?I payable to the City of Egan. Tlie above order must be conipGed with by (date) Etecttical Inspector Cluis Brinkhaus, 1026 Oak itd_, 3hakopee, Mn 55379 (612)1969615 !:;T. i'v r:)F- f::,AG,Ard (:;A<ili:f.Ei(.^. :i TE.E'MINAI._ 1`lt7u 893 D;o'rl:=;; til019r3 TI:MI_; i.Q28;48 ]I.ia A!Flf1F:° ALl'r,M:,T.CC LAl;AGE Lir,•C3R .. !=f•PLC;r 30'I.il ..L`lf)I. 092 i1Ni.fl;..hiL'clF1P `7'.I,.f 10 21t>" 111ii1-1 All'?t? ;1NiS?sFR'.I'.!r',F WWi . .. . ,! , _, ., ?i p ? t N'.yW ?. ..r 1. .1:1 r? ?N90?;s; n:,;i.R ,P,, NrlNC;' +.?r6r?R;? ? ?:„;;::???v,;;;? r'?:c?Y>;:Y„?i??k::;.>l-? ;:k',•l?:t'n+;:i:•.'d ??;:kS: ? CITY OF EAGAN 3830 P;(ot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: RUII_pING 03399[ 1111019s SITE ADDRESS: PeI,N.: 10-64560-180-01 4192 AMBERI.FAF TR LOl'r 18 BLOCK: 1 RDONEI' DESCRIPTION: '-6Fl5 INSERT/GAS LINE Buildinq P.grmit i"ype FIREPLACE tfuilding Work Type AL7ERA7TON Census Cocle 434 NLT. R[SSDENTIA1. ? ?F i REMARKS: CI-IIMNcY/FLUE MU57 RE .LNSPECTEO BEfORE CUidCCAL.TNG. FEE SUMMARY: Base Fee Surcharge TotaL Fee $5P.00 $50.50 CONTRACTOR: - ApPlicai,c - sT. i.r.c. OWNER: NU7(IMATTC GARAGE p00R 15712525 0001990 GLASGROM DAVID 220 NE 77TH AVE 4192 FIMBERLEAF TR FRT.DIEY MN 55432 GHGAN MN 55122 1612) 571-2525 (651)6E31-8454 r I hereby acknowledqe that S heve read this appiication and st'ate That the information is correct- anei aqrea L'o c:o+nplv wir.h a11 applicable State of Mn. L SY.atutes and City o't' Eaqan Ordi.nances. - APPLICANTlPERMITEE SIGNATURE ?SUED BY'-URE ? CTTY OF EAGAN 3830 PIIAT KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 DnTE:// - 1D g ? DESCRIPTION OF WORK/:''? Constrvct new fireplace ?+% 10 Install Eas insert onlv na_ x_ Other ??-(0-9? PERMIT FEE: $50.50 Alterations to existing Install Pas line oniv JOB ADDRESS: C-Y' / °L a5jP J ? LOT: ? g BLOCK: SUBDMSION/P.I.D. # ? O APPLICANT (circle one only): OWNER TRACTOR' I-C I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan , n Ordinances. -4Jic?', ? ?c.? c4 r0 tv? Nazne: ? Phone #: PROPERT'Y Last First OWNER Signature: StreetAddress: T/q`Z- riYi% L-r 1 tc?-T 7-(z, City v` State: iL/l K) Zip: S S I Z- Z Compsny:"rnn-Ake- Phone #: 5?7i' ZS-ZS' FIREPLACE ?? INSTALLER Signature: Street Address: 4,P-v License # ililta ciri suce: zip: ss-Y 3`z- Company: ?$q m e, Phone #: GAS LINE INSTALLER Signature: Street Address: OFFICE USE ONLY BUILDING PERNIIT TYPE ? 14 F'veplace W ORK TYPE D 31 New 0 33 Alterations 0 32 Addition ? 34 Repair GENERAL WFORMATION Census Code. 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. 3i > l? n` • ?_ ? ? ? MH STA. 4+59 MH "^' 5 8.89 LT `-, 5=0+50 '? INVa901.90 , ' ;?9>>?9? 5 AiH STA {+24•. 1 ; "., •., 1 MH f A.W. 99 ? 5=1+00? ` ? ? ? INV=904.61 \ ?' `' ±gp' t CS=914.61 MH STA 3+3?'?-„''• YH ?-SiA'-3+76 ?'?. r ? 5 &95 LT ` a.r-ti! I/ S 1AH STA. 2+21 $ Lal MH ?SI.4-?+65 J? 2 9.02 LT,2 1 Ss1+67 W-0+12 mv-eaa,ag sos.7o C5-9i4480. 915.10 ??' _ 5=W82 ?5,_'___"•`\ INV-901.36 \ CS-911.J6 ? UNOFMCRWND PoMfli CON[ umFACR0U/1D mPoGAllp1 mFACROU '.E RIGHT AIH STA. 6+42 i [) n T[Nn?? r- n/I n n 1 py.p' MH ri-SIA.6+61 ? i/'! I\Ili( ? 1._n V."v •i /'111 /? 6 32.95 LT ' I ,.= y'"_"_' `"'"___'" 1+JB - ', . .ar 13 5-+*896?.9 + I; 4 _ ?---o+n--------------- ---------------- s_,+ss••? . INV= < 21a' CS=906.3 S=Bi-B? =i+55____ 1' ______' * INV.89Z2 •, INVa696.7 INV=897.2 C5Z.0 CS=901.0 ? ? CS-90Z.0 , M19RANT 13.3! 7 ' i HWL = 895.8 MM STA. 1+64a1.0:, p.p 6'-90' BEND ;. 22'1",? NN'L = 894.0 CND. EL 903.0 7NH. EL 905 ?1-8'-15' BENQ 1 I?? HYDRANT 780.32 ??J HYDRANT-'?.,J .? ??:: ' 6'-90' BEND ?• t - ?•nw'__ -.. ? i , 1 O* MY (8'-22 1/2'?. li GNO. EL 900.0 D.5 ' 37'-8'DIP. LL 52 ?W93 ? TNH. EL 901.95 2aY ao.s' INVa99G9 ?1P 5=0+80 j ' 17.Y ' - GND. El. 908.3 _ 1 7 l81.2' 6.!' 1 50.0' --£kEE ? • "- - ; .E1.7 INV=900.01? I TNH. EL 908.52 S:O+B7 ""'_"_""_?" F'_•-__.__ CS=903.5 C5-910.011 ; C.O. 907.0 INVa896 5 13.Yt' _ •??? i, r= 8'-45' BEND INVa896.53 ' 5?1+12 MH ? STA. 8+72 1 6 1 CS=900.0 MH AS LOCATED INV=896.5 ? 6 32.95 LT / 14 9 MH STA. 1+91 1e.2' -' C5=905.21 v ?c ?J fDRANT 5-1+21 ?0+36 I I 12? a 6' T E E INVs896.9 { 5? 1+ i h p ? ? 6 I $ IC5?908.35` a 2 5 /'? 1, .15 I ? MM AS LOCATED 8.35? ; - a? -6'OIP. CL 52 INV-897 ? i I I ? I ?A ID. EL. 914.2 ?906.3 i ? B MH STA. 1-6'-22 7/2' BEND ` ? IH. 0.. 916.4 5?0+27 k:, € STA. 4+91 74.Yi ', ,, ?` •- e' 1 INV-905.23 -" 57.0' ?$ ? ". \ ? ? i •---_- '"_ 5 8.89 LT 1? ? '1-6' G.V. cw? SCAIE M t= C5-915.23 7-8?6 ' BEND? Q 917. ? i i $ ' ? 9.8' • 8' t 6' REDUCEH yyyp PoxiR CaNOWT ? 5 M.? H S?A 0+39 INVe904.0 ` uND-.,Q+GaOUNO 4'7.0' 1•j INV-896.9 9.C 21.1' CS-906.3 ??p 1 23 •RT t t 15 a 1AH ?t STA. 4+59 ? 1 r 4 W NEST ? ? s 19 INV=898.?j ? 1+78 MOY S' ? n:' i \•`??•?. • ~:?y ? 8' x 6' WCEH . C5-90B.20' t 5.4+8¢ t_g,_RO?°'p? ICSa907.0 O END il 8' x B' lEE 121' i •? + MH MN STA Wo0 \ . .,k REMOVEVPLOG. CONNEC'I?'1?t` ?-e' G.V. _ ' ? . . .. '_ _. .. • ? NOTES? TO EXISL 8' DIP W.M. y , . ?? ?? l FT , 7. SANITARY SEWER SERNCE WYES N2E STATONED FROM DOWNSTRElJA M HOLES- .??..? 1 -??CorA?a-_i UFRtRax?D PoMER ALL SANITARY SEWER SERNCES SMALL rN .,..?..?r,. ;. ,?,..? •??,-?? ?,. ? ?' ?? ___ BE 4' P.V.C. (SOR 26). lu?Xl?:n? BENpiMARKS , 3' UPSTREAM PRCY .H. 3 SAN 71MyR $ERy1(2 T.N ? ALONC O-FFLEY ROAD EAST SIOE OF WAIER TOWER 4. ALL WATER SERNCES WALL BE 1' ^,o I?, ?c? 0.= 990.38 (TYPE -K-) COPPER. ?d? uT?'AMBERLEAF.. TRAIL ? iIiiiC sc.U.C iN veeT * NOTE: ? T.N.M. SYf WAD 5. ALL O.I.P. WATERYAIN SNALL BE CLA55 .? LOTS 10, 11 @ 12 MAY REWIRE WFFlEY ROAD k DANIQ DRIVE 52 l1NLE55 01HERM75E NOIm. %,- , • _ ',? f•?:„' /?ptn ' ? I ? ._._ IV11?'1: PRIVAIE GftINDER PUMPS. 0. - 978.51 r 6. E%TEND SERNCES 15' PAST PROPERTY UNE., _. .... _ _ ....:... ::.... .............. .. . . . _ . ..... ........ _ .... ..... ....... ......... ..... ..... ..... ..... '_ .. .. .. . .. .... ? .. y?.;.... .. .... .. .... ... ..... .. ... IT 925. 4 w_ .. .........:...... ...:. .. . . ...... .... ..... . . ??.. ?,_ . . _ . . . .. .. ...... ....9t4.22...... .. ..... . .. .......... . ..... . ... ......... ... . . .. . :?.: EXI571NG GRWND ? MF1..R . ..?.. : 913.54. _ . . - ' . .? . .'- : z 920 zo?.eo' ..3: ?Y. _ _:. .._ ...:......:..:.........::..: . . _ . . f. .... _ .. .. _ .. . : . ...... '..:. . . . . ... .. ..'. . ,IH RE =9i8-2S ' - .. p. 4 _ BlDW6S& SED GRADE-? : : . ? . . . AIH RE-^•-e ^'? . ' . . . ' 4H RE?B6i.8? PROPO 7578' / . :. 915 soe.e7 . s ein?sa- i ?. .. : .':. : . . . . . . . .. '. ? '1 BLD .7442' . .? f? . . :. _ ... ... . ? MH RE 66P.63 915 ..... ..... 5 BlD-'-.?:z- . ._.... .... ..._ ... .' ......:.. . .. .. ..... MM?.RE._995.20.. . 906.08 , ..: . . . . . \\ . . E% RE-965.?& 1d95' ? ... MH..?D90? . ?E70?ND C B 6 BLD?-iB+.Sb ? : .' . : uH : ' : ' : . ' 20 . . .. H REeBBi.L : : : 1 ' : .32 8Lp MH ? B 902 ' ? R 2:9P 9?? =96 910 ...' MHt1. •?8826 . . _ .. _ .. . . ... ... ....... ... . ? ... . .. . _ ..... 3? . . . . . . .. . .. .. . . .. . ... .......... '.. .. ?. . . . . . ' ..? .... '. . . . .. . . ' 6 . .... . . . . . . . . ' ?p • . .: . . ...... 7 . . . . . ? ' ? 7.5' uIN. BLD . . . S ' . . P ? Q PROPOSED:CRADE 81' ?COVER 10 905 ' CONNECT TO ? -? B.O,? 7.5' MIN GRA . DE? . ? . ' ? 905 : . .. .. j.. ..__ . . . . P.?.... . ._ . ; .:. ..... : . . ? . .... ... .... ....... . CQVER '. _ ..... . ..... . ... . .... __ . . . ..._ . ' ? . . .. ..: .. . / '.. . E%iST: STF16 ? wj e• G.V. sz . . ... ' 7 5' WN. 900 rc °' ?C 5 900 COVER . . .. .. ...._. . . J . . . .... .... . . . . . . . ? .... . ... . . .. . .... ._. .... ... . . . Y? ..w.. ? . .'. L 2.' .. ' _ . . ? . .. . ...... . ..... .... . . ... .. 6' D.I.P, Cl. Sp ' HIILO MANHOLE 0YL7t: 895 . ? E7a5T. B' PVC SN9 895 . . . ? ? . .. . .. .. .. . . . .... o o m ... '........ . . . . . ...... . .. ' .. .. ..... 8'.DIP...CL52.0.??.3?' ...:....;.. 'PVC'SO 35'trV:1BlF:. . 8- ? ... ?. yr ?I6i_ : . ' : : ' &5=8? PVC ? 8' R 0 - . .4 . . : .4 104 SDft 26 ? B SDR 25 . 164 890 ' NI` ?B' PVC??26 YB?BR ,o " 0.267I - 17W 0:6i9W : O.7BS 35' 0:0.4107F 0?4 , 64 LIN. FT. ? -:- : i6Y o.2? I ; 3G-B' PVC SOR 26 0.75s? 2-2 . a' . e' 1-10-95 a. n n ezcsT. sTUe ?.. g .. : a v+e?-... wsuLanoN RECORD PLAM . 890 , m am u 39'19-8' PVC i . n . t.4R LAY ?IN 6F?P09TE..? . ? aR[cnow ,?, BUILT 8Y: ? ? ? EBAK CONS? x xi> 0 ? > > m? E ? i WI W2 2 . ? 2I ? Z . Z' 2 . . . 2 ? . Z Y 2' 2 Z . l?a5p' ^ ? ? PERMIT City of Eagan Permit Type:Building Permit Number:EA116360 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 4192 Amberleaf Tr Lot:18 Block: 1 Addition: Rooney PID:10-64560-01-180 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christophe R Dolan 4192 Amberleaf Tr Eagan MN 55123 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122032 Date Issued:04/22/2014 Permit Category:ePermit Site Address: 4192 Amberleaf Tr Lot:18 Block: 1 Addition: Rooney PID:10-64560-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heidi Hanschu 4342b Shady Oak Rd Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christophe R Dolan 4192 Amberleaf Tr Eagan MN 55123 Practical Systems 4342B Shady Oak Rd Hopkins MN 55343 (952) 933-1868 X205 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r----------------"'� I For Office Use � . � � � ��� I Clty of Ea�a� � Permit#: � � �� � � Permit Fee: � � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 i Staff: i 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ����� � �`��� � �� Phone: Resident/ ��_l � �j.,�J'� �. �e2 i Owner Address�city�zip: Applicant is: Owner �Contractor Description of work: [��/� ��/l ,Type of Work Construction Cost: Multi-Family Building:(Yes /No ) Company: � Z���� `-@�'� .L��Contact: fa. °�� '��C"�� Contractor Address: ` �C�- � o�-� � �� �- ity: /12�a 7 y�� A, — !/`] /_ G� r,, I State`�'"�"' Zip: `S5 �Y /Phone: (I��o���"`�mail: SIJ�-t.l l�'��� �Q7 ' c�� License#:_��(J/��� Lead Certificate#: �v���'C /�� `/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �,,(�—�'�"=�c �4 7�' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes �o If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons fhat would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X�_ " � ��Mc� . X . ,� WV� � C Applica ' Printed Name icant' ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150001 Date Issued:06/15/2018 Permit Category:ePermit Site Address: 4192 Amberleaf Tr Lot:18 Block: 1 Addition: Rooney PID:10-64560-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ivan Broodryk 4192 Amberleaf Tr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature